Effects of Microcurrent in a Cardiovascular Rehabilitation Home-based Program
- Conditions
- Acute Myocardial Infarction
- Interventions
- Other: ExerciseOther: Cardiovascular Risk FactorsDevice: Microcurrent
- Registration Number
- NCT01887080
- Lead Sponsor
- Escola Superior de Tecnologia da Saúde do Porto
- Brief Summary
The aim of this study was to investigate the effects of electric stimulation (electrolipolysis) in a home-based cardiovascular rehabilitation program in patients with acute myocardial infarction
- Detailed Description
Cardiovascular disease is the leading cause of death in most industrialized countries.
It is widely accepted that cardiac rehabilitation has a beneficial role in the control of modifiable cardiovascular risk factors. However, these cardiovascular rehabilitation programs are scarce and only a small fraction of the population who needs has access. So, it is pertinent to the displacement of these programs to the community context.
Obesity has become a truly global epidemic among children and adults, as well as changing the metabolic profile: when occurs an excessive accumulation of adipose tissue (mainly central distribution) there are a set of changes / adjustments to the cardiac structure and function. The electrical stimulation of abdominal subcutaneous (electrolipolysis) is a procedure often used in physical therapy clinics to reduce waist circumference. However, the effectiveness of this intervention, the selection of parameters, and the duration of its effects in cardiac patients are not yet clarified in the literature.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 40
- Individuals admitted to the coronary care unit for acute myocardial infarction for more than one year;
- Individuals of both sexes;
- Ages between 40 and 75 years;
- Heart disease stabilized;
- Motivation to perform physical activity for 8 weeks;
- Cognitive level sufficient to understand the particulars of the study.
- Contraindications of micro-current (pacemaker, osteosynthesis material, tumor areas and open wounds or skin changes in the abdominal region);
- Pregnant at the time, in the preceding 6 months or wishing to become pregnant during the intervention period;
- Neurological, musculoskeletal or respiratory disorders;
- Individuals who are to carry out other therapies.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- FACTORIAL
- Arm && Interventions
Group Intervention Description Exercise Cardiovascular Risk Factors Experimental group 1 performed cardiovascular rehabilitation home-based program Exercise afther Microcurrent Exercise Experimental group 2 performed cardiovascular rehabilitation home-based program just after microcurrent. Exercise Exercise Experimental group 1 performed cardiovascular rehabilitation home-based program Cardiovascular Risk Factors Cardiovascular Risk Factors Education about risk factors Exercise afther Microcurrent Microcurrent Experimental group 2 performed cardiovascular rehabilitation home-based program just after microcurrent. Exercise afther Microcurrent Cardiovascular Risk Factors Experimental group 2 performed cardiovascular rehabilitation home-based program just after microcurrent.
- Primary Outcome Measures
Name Time Method Computerized axial tomography Change from Baseline in Computerized axial tomography at 8 weeks of Cardiac Rehabilitation Home-based Program It was measured subcutaneous, visceral and total abdominal fat.
Cardiorespiratory Fitness Change from Baseline in Cardiorespiratory Fitness at 8 weeks of Cardiac Rehabilitation Home-based Program The stress test was performed according to the Bruce protocol on a treadmill. The test begins with the treadmill set to a low speed (2.7 km/h) and a 10% incline, and every 3 minutes the speed and angle of incline are increased. Generally the incline is increased by 2% at every level, until exhaustion.
It was measured resting, maximum and recovery heart rate; resting, maximum and recovery systolic blood pressure; resting, maximum and recovery diastolic blood pressure; resting, maximum and recovery double product; time and recovery time; speed; slope; and changes in functional capacity.Blood tests Change from Baseline in blood tests at 8 weeks of Cardiac Rehabilitation Home-based Program They were performed in the morning after fasting for about 12 hours, to avoid the interference of postprandial lipemia.
It was measured glucose, cholesterol and triglycerides.
- Secondary Outcome Measures
Name Time Method Skinfolds measurements Change from Baseline in Skinfolds measurements at 8 weeks of Cardiac Rehabilitation Home-based Program and 4 Weeks After Finishing the Protocol Subscapular, Triceps, Biceps, Suprailiac, vertical and horizontal abdominal skinfolds were performed three times in right hemi body, by Harpenden Caliper
Flexicurve spinal measurement Change from Baseline in Flexicurve Spinal Measurement at 8 weeks of Cardiac Rehabilitation Home-based Program and 4 Weeks After Finishing the Protocol It was proceeded 3 measurements with flexicurve, with references of C7 and L1 to calculate the thoracic index.
Daily Physical Activity Change from Baseline in Daily Physical Activity at 8 weeks of Cardiac Rehabilitation Home-based Program and 4 Weeks After Finishing the Protocol Physical activity will be objectively measured for 7 consecutive days using the ActiGraph accelerometer (model GT3X, Florida, USA).
Y-Balance Test Change from Baseline in Y-Balance Test at 8 weeks of Cardiac Rehabilitation Home-based Program and 4 Weeks After Finishing the Protocol at 8 weeks of Cardiac Rehabilitation Home-based Program and 4 Weeks After Finishing the Protocol The Y-balance test assesses anterior, posteromedial and posterolateral components.
Bioimpedance values Change from Baseline in Bioimpedance values at 8 weeks of Cardiac Rehabilitation Home-Based Program and 4 Weeks After Finishing the Protocol I twas used a bioimpedance scale (BIO) InnerScan Tanita, TBF-300A, which uses four electrodes (two on each foot) for the passage of an electric current. People were told to undress her clothes and stay only shorts without metal objects.
One Leg Standing Test Change from Baseline in One Leg Standing Test at 8 weeks of Cardiac Rehabilitation Home-based Program and 4 Weeks After Finishing the Protocol It was recorded the best time, for two lower extremities (until the maximum of 30 seconds), without unbalancing . It was made with the eye open and closed.
Perimeters measurements Change from Baseline in Perimeters measurements at 8 weeks of Cardiac Rehabilitation Home-based Program and 4 Weeks After Finishing the Protocol The perimeters measurements were done, at the end of expiration, at waist level (below last rib), at navel level, at the point immediately above the iliac crests and at trochanters level. The waist-hip ratio was calculated using the waist level perimeter divided by trochanters level perimeter
Trial Locations
- Locations (1)
Andreia Noites
🇵🇹Porto, Vila Nova de Gaia, Portugal